Provider Demographics
NPI:1144070087
Name:BROSE, AMBER CHRISTINE (BS, MOT, SWC, OTR/L)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:CHRISTINE
Last Name:BROSE
Suffix:
Gender:F
Credentials:BS, MOT, SWC, OTR/L
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:CHRISTINE
Other - Last Name:NEUMEIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15332 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-8701
Mailing Address - Country:US
Mailing Address - Phone:510-846-2428
Mailing Address - Fax:
Practice Address - Street 1:415 SIERRA COLLEGE DR
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5764
Practice Address - Country:US
Practice Address - Phone:530-272-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9224225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist